Derik Jamon Everett in San Jose - Mental Health
Derik Jamon Everett - NPI 1164567442
Derik Jamon Everett is a Mental Health in San Jose, California. Derik Jamon Everett practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Derik Jamon Everett is 1164567442. The last update date is 2007-07-08.
Derik Jamon Everett's current location address is 230 No Morrison Ave, San Jose, California. You can contact this provider via phone number 4089388516 and fax number 4082954231. The mailing address for Derik Jamon Everett is 230 No Morrison Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derik Jamon Everett |
|---|---|
| Address | 230 No Morrison Ave, San Jose, California |
| Phone Number | 4089388516 |
| Fax Number | 4082954231 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164567442 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 230 No Morrison Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951262741 |
| Phone Number | 4089388516 |
| Fax Number | 4082954231 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to Derik Jamon Everett by the Centers for Medicare & Medicaid Services?
The Derik Jamon Everett has been assigned the NPI (National Provider Identifier) 1164567442 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Derik Jamon Everett?
The Derik Jamon Everett is situated at 230 No Morrison Ave, in the city of San Jose, state of CA, with the zip code 951262741.
What is Derik Jamon Everett's area of expertise and its corresponding taxonomy classification?
The Derik Jamon Everett's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
When did the Derik Jamon Everett receive its 1164567442?
The Derik Jamon Everett was issued its 1164567442 on 2007-02-21, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Derik Jamon Everett last refreshed?
The information related to the Derik Jamon Everett, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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